Individual
DR. JESSICA G RAUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14502 N DALE MABRY HWY STE 328, TAMPA, FL 33618-2043
(813) 931-7022
(813) 931-7123
Mailing address
14502 N DALE MABRY HWY STE 328, TAMPA, FL 33618-2043
(813) 931-7022
(813) 931-7123
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0044809
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30735
BLUE CROSS BLUE SHIELD
—
01
—
592913087336140000
CHAMPUS
—
Enumeration date
10/14/2006
Last updated
01/02/2023
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